MS. MARY BONOMO, P.A.
Physician Assistant - Surgical
Active
Individual
NPI: 1376861690
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | MA051566 (PA) |
Frequently Asked Questions
NPI 1376861690 is the National Provider Identifier for MS. MARY BONOMO, P.A., a Physician Assistant - Surgical provider located in Philadelphia, PA. This NPI was enumerated on May 11, 2010.
MS. MARY BONOMO, P.A. practices at 5501 OLD YORK RD, KLEIN 510, Philadelphia, PA 19141.
Quick Facts
- NPI
- 1376861690
- Type
- Individual
- Enumerated
- May 11, 2010
- Last Updated
- May 11, 2010
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